Execution:
- The patient is in prone lying position with the affected ankle placed over the edge of the treatment bench
- A sphygmomanometer is placed around the middle of the calf and inflated to 100mmHg with the ankle in passive plantar flexion
- The patient’s ankle is passively dorsiflexed
Positive Outcome: In case of an Achilles tendon rupture, there will be little to no rise in pressure. In an intact tendon, one should experience a pressure rise of between 35 to 60mmHg
Study | Reliability | Sn | Sp | LR+ | LR- |
Reiman et al. (2014) | NA | 78 | NA | NA | NA |
Comment: Only sensitivity values could be extracted and the included study had a fairly high risk of bias |